Bell's Palsy Flashcards

1
Q

What is Bell’s palsy?

A

Idiopathic facial nerve palsy

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2
Q

What are the features of Bell’s palsy?

A

Unilateral LMN facial nerve palsy

Post-auricular pain
Altered taste
Dry eyes
Hyperacusis

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3
Q

What are signs of a LMN facial nerve lesion?

A

Forehead not spared
Drooping eyelid
Loss of nasolabial fold

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4
Q

How is Bell’s palsy manaed?

A

Prednisolone if presenting within 72 hours

Lubricating eye drops

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5
Q

What is a key differential for LMN facial nerve palsy?

A

Ramsay-Hunt syndrome

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6
Q

What are the features of Ramsay-Hunt syndrome?

A

Unilateral LMN facial nerve palsy

Vesicular rash in ear canal + pinna

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7
Q

How is Ramsay-Hunt syndrome managed?

A

Treat within 72 hours

Prednisolone
Aciclovir
Lubricating eye drops

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